Individual
DR. RAY PENA LEUTERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH D
Contact information
Practice address
67 FIR ST, TUBA CITY, AZ 86045-0067
(928) 283-1161
(928) 283-1205
Mailing address
PO BOX 1169, TUBA CITY, AZ 86045-1169
(928) 283-1057
(928) 283-1205
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4041953
AZ
Other
Enumeration date
03/30/2011
Last updated
05/05/2011
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